Depression and its Correlates Among HIV-Positive Pregnant Women in Thailand

Depression and its Correlates Among HIV-Positive Pregnant Women in Thailand

Abstract:

Depression and its Correlates Among HIV-Positive Pregnant Women in Thailand

Conference Sponsor:

Sigma Theta Tau International

Conference Year:

2005

Author:

Ross, Ratchneewan, PhD, RN

P.I. Institution Name:

Kent State University

Title:

Assistant Professor

Email:

rross1@kent.edu

Co-Authors:

Pakvilai Srisaeng, PhD, RN

Purpose: To examine depression and its correlates among HIV-positive, pregnant women in Thailand. Subjects and Method: This correlational, cross-sectional study recruited 90 HIV-positive, pregnant women at the prenatal clinics of four different hospitals in Thailand. Subjects completed a questionnaire packet that had been translated into Thai with back translation. The Center for Epidemiology Studies Depression Scale (Alpha=.90), Self-Coherence Scale (Alpha=.77), and Multidimensional Scale of Perceived Social Support (Alpha=.87) were used to measure depression, self-coherence, and social support, respectively. Hierarchical multiple regression was applied to control for covariates (marital status, education, family income, gravida, intention of pregnancy, duration of HIV infection, HIV-related symptoms). Independent variables included social support, self-coherence, meditation (meditation vs. no meditation), disclosure of subject's HIV status (disclose vs. not disclose), and partner's HIV status (positive, negative, or unknown). Results: All subjects were Buddhist. Most were housewives (52.2%). Their age ranged from 18 to 41 years old. Ninety percent were living with partner. Their average income was $US 3,720 annually. Nearly 56% intended to get pregnant. Approximately, 42% of the women had known their HIV status for less than 3 months, and 28.9% for over a year. Regarding their partner's HIV status, 55.6% were unknown, 31.1 % were positive, and 12.2% were negative. About 64% of the women disclosed their HIV status to someone and mostly to their partners (50%). When the cut-off score of 23 or greater was applied, 57.8% were significantly depressed. Self-coherence, social support, and meditation were negatively correlated with depression (Beta= -.69, -.41, and -.33, respectively). The overall model yielded 50.1% of the explained variance (F=6.86, p-value <.001). Conclusion: Correlates of depression were low social support, low self-coherence, and no meditation. Nurses should incorporate social support, self-coherence, and meditation into their interventions in order to intervene depression among this group of population.

Full metadata record

Depression and its Correlates Among HIV-Positive Pregnant Women in Thailand

en_GB

dc.identifier.uri

http://hdl.handle.net/10755/149035

-

dc.description.abstract

<table><tr><td colspan="2" class="item-title">Depression and its Correlates Among HIV-Positive Pregnant Women in Thailand</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ross, Ratchneewan, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kent State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rross1@kent.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pakvilai Srisaeng, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To examine depression and its correlates among HIV-positive, pregnant women in Thailand. Subjects and Method: This correlational, cross-sectional study recruited 90 HIV-positive, pregnant women at the prenatal clinics of four different hospitals in Thailand. Subjects completed a questionnaire packet that had been translated into Thai with back translation. The Center for Epidemiology Studies Depression Scale (Alpha=.90), Self-Coherence Scale (Alpha=.77), and Multidimensional Scale of Perceived Social Support (Alpha=.87) were used to measure depression, self-coherence, and social support, respectively. Hierarchical multiple regression was applied to control for covariates (marital status, education, family income, gravida, intention of pregnancy, duration of HIV infection, HIV-related symptoms). Independent variables included social support, self-coherence, meditation (meditation vs. no meditation), disclosure of subject's HIV status (disclose vs. not disclose), and partner's HIV status (positive, negative, or unknown). Results: All subjects were Buddhist. Most were housewives (52.2%). Their age ranged from 18 to 41 years old. Ninety percent were living with partner. Their average income was $US 3,720 annually. Nearly 56% intended to get pregnant. Approximately, 42% of the women had known their HIV status for less than 3 months, and 28.9% for over a year. Regarding their partner's HIV status, 55.6% were unknown, 31.1 % were positive, and 12.2% were negative. About 64% of the women disclosed their HIV status to someone and mostly to their partners (50%). When the cut-off score of 23 or greater was applied, 57.8% were significantly depressed. Self-coherence, social support, and meditation were negatively correlated with depression (Beta= -.69, -.41, and -.33, respectively). The overall model yielded 50.1% of the explained variance (F=6.86, p-value &lt;.001). Conclusion: Correlates of depression were low social support, low self-coherence, and no meditation. Nurses should incorporate social support, self-coherence, and meditation into their interventions in order to intervene depression among this group of population.</td></tr></table>

en_GB

dc.date.available

2011-10-26T09:54:58Z

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dc.date.issued

2011-10-17

en_GB

dc.date.accessioned

2011-10-26T09:54:58Z

-

dc.description.sponsorship

Sigma Theta Tau International

en_GB

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